Community Care of West Virginia, Inc.
NPI #1790110047 in Frametown, West Virginia
Provider Information
- NPI Number
- 1790110047
- Entity Type
- Organization
- Organization Name
- Community Care of West Virginia, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- COMMUNITY CARE OF WEST VIRGINIA, INC.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Sep 5, 2013
- Last Updated
- Sep 5, 2013
Practice Location
- Address
- HC 61 BOX 14
- City
- Frametown
- State
- West Virginia
- ZIP Code
- 26623-9401
- Phone
- (304) 364-5526
Authorized Official
- Name
- DORA L POTASNIK
- Title
- CREDENTIALING
- Phone
- (304) 587-2541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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